Finding Relief: Sacral Neuromodulation for Overactive Bladder

By: Steven M. Salva, MD, FACS

Overactive bladder (OAB) can significantly impact your quality of life. This condition can sometimes cause embarrassment, anxiety, and social isolation. Fortunately, solutions are available. Sacral neuromodulation is a treatment option that can provide relief.

What is OAB?

Overactive bladder (OAB) refers to the frequent and/or urgent need to empty your bladder. It’s a serious health issue that can significantly impact your quality of life, negatively affect social activities and exercise, and cause disruptive nighttime voiding. Many people with OAB symptoms may limit their lives socially, professionally, and personally. Despite the impact on people’s lives, as many as 64% of people who experience OAB symptoms are not currently using any treatment.¹ For those taking OAB medication, one study found that 7 in 10 people stop using medications within 6 months due to intolerable side effects or unsatisfying results.²

What is sacral neuromodulation therapy and what are the benefits?

Sacral neuromodulation (SNM) is an innovative treatment option that has shown remarkable success in managing OAB, particularly in cases where other treatments have failed. SNM therapy involves the implantation of a small device, similar to a pacemaker, near the sacral nerves that control the bladder, bowel, and pelvic floor muscles. This device delivers electrical impulses to modulate nerve activity, helping to restore normal function and alleviate symptoms.

So how does sacral neuromodulation work?

The implanted device sends mild electrical pulses to the sacral nerves, which regulate bladder function. By modulating nerve activity, SNM therapy helps to normalize communication between the brain and the bladder, which may reduce the frequency and intensity of urges and improve control over bladder function. Unlike medications, which may have side effects or lose effectiveness over time, sacral neuromodulation offers long-term relief with minimal side effects.

Before making a long-term commitment, patients undergo an evaluation that allows them to try SNM therapy to determine if it might provide relief. Following a successful evaluation, patients can choose to receive long-term therapy with an implantable system.

Moreover, SNM therapy is a reversible treatment option, meaning that, if necessary, the device can be removed without causing permanent damage. This aspect provides patients with flexibility and peace of mind, knowing that they have control over their treatment journey.

 Why does MidLantic Urology offer sacral neuromodulation therapy?

Too many in the Greater Philadelphia area experience regular urinary accidents and/or frequency issues associated with OAB, which can significantly impact all aspects of a person’s quality of life. Many don’t recognize that there are effective treatment options beyond behavior modification and oral medications. At MidLantic Urology, we are pleased to offer sacral neuromodulation and encourages those dealing with bothersome OAB symptoms to seek help.

 

References

1. Muller N. What Americans understand and how they are affected by bladder control problems: highlights of recent nationwide consumer research. Urologic Nurs. 2005;25(2):109-115.
2. Yeaw J, Benner J, Walt JG, et al. Comparing adherence and persistence across 6 chronic medication classes. J Manag Care Pharm. 2009:15(9):724-736.